Fourteen years of quality improvement education in healthcare: a utilisation-focused evaluation using concept mapping

BackgroundThe need for training in quality improvement for healthcare staff is well acknowledged, but long-term outcomes of such training are hard to evaluate. Behaviour change, improved organisational performance and results are sought for, but these variables are complex, multifactorial and difficult to assess.AimThe purpose of this article is to explore the personal and organisational outcomes identified by participants over 14 years of university-led QI courses for healthcare professionals.MethodInspired by the Kirkpatrick model for evaluation, we used concept mapping, a structured mixed method that allows for richness of data to be captured and visualised by inviting stakeholders throughout the process. In total, 331 previous course participants were included in the study by responding to two prompts, and 19 stakeholders taking part in the analysis process by doing the sorting.ResultTwo maps, one for personal outcomes and one for organisational outcomes, show clusters of the responses from previous course participants and how the outcomes relate to each other in meta-clusters. Both maps show possible long-term outcomes described by the previous course participants.ConclusionThe results of this study indicate that it is possible that training in quality improvement with a strong experiential pedagogical approach fosters a long-term improvement capability for the course participants and, even more important, a long-term improvement capability (and increased improvement skill) in their respective organisations.

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Sustainability of Quality Improvement: Long-Term Outcomes after Implementation of an Institutional Colorectal Enhanced Recovery Protocol

Journal of the American College of Surgeons ◽

10.1016/j.jamcollsurg.2018.07.159 ◽

2018 ◽

Vol 227 (4) ◽

pp. S76

Author(s):

Taryn E. Hassinger ◽

J Hunter Mehaffey ◽

Florence E. Turrentine ◽

Sook C. Hoang ◽

Charles M. Friel ◽

...

Keyword(s):

Quality Improvement ◽

Enhanced Recovery ◽

Long Term Outcomes ◽

Enhanced Recovery Protocol

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The Impact of the Primary Nursing Model on Cultural Improvement: A Mixed-Method Study

Creative Nursing ◽

10.1891/1078-4535.22.4.259 ◽

2016 ◽

Vol 22 (4) ◽

pp. 259-267 ◽

Cited By ~ 3

Author(s):

Rachele Ferrua ◽

John W. Nelson ◽

Claudia Gatta ◽

Antonella Croso ◽

Chiara Boggio Gilot ◽

...

Keyword(s):

Mixed Method ◽

Model Of Care ◽

Long Term Outcomes ◽

Primary Nursing ◽

Cultural Approach ◽

Work Effectiveness ◽

Care Models ◽

The Impact ◽

Series Study

Evaluating the implementation of care models such as Primary Nursing requires assessment of both short-term and long-term outcomes. In a hospital in Piemonte, Italy, a mixed-method time-series study was conducted to assess if and how the organizational culture of nurses changed in relation to the implementation of a new organizational model of care. Instruments used included the Condition of Work Effectiveness Questionnaire (CWEQ II) and an investigator-developed questionnaire to evaluate perceptions of dimensions consistent with Primary Nursing. Results showed a significant culture change over time related to the implementation of Primary Nursing, mainly in terms of nurses’ understanding of their professional role specifications. In addition, the results supported a relationship between being involved in the project implementation and the procedural and cultural approach adopted.

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COMPARISON OF TRENDS IN IN-HOSPITAL AND LONG-TERM OUTCOMES OVER TIME AMONG OLDER PATIENTS WITH NON-ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION: INSIGHTS FROM THE CRUSADE QUALITY IMPROVEMENT REGISTRY

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(11)60905-4 ◽

2011 ◽

Vol 57 (14) ◽

pp. E905

Author(s):

Chee Tang Chin ◽

Tracy Y. Wang ◽

Anita Y. Chen ◽

Robin Mathews ◽

Karen P. Alexander ◽

...

Keyword(s):

Myocardial Infarction ◽

Quality Improvement ◽

Older Patients ◽

Long Term Outcomes ◽

St Segment Elevation ◽

Segment Elevation Myocardial Infarction ◽

St Segment ◽

Over Time

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Extending the value of the National Surgical Quality Improvement Program claims dataset to study long-term outcomes: Rate of repeat ventral hernia repair

Surgery ◽

10.1016/j.surg.2014.12.027 ◽

2015 ◽

Vol 157 (6) ◽

pp. 1157-1165 ◽

Cited By ~ 17

Author(s):

Anne M. Stey ◽

Marcia M. Russell ◽

Catherine A. Sugar ◽

Bruce L. Hall ◽

David S. Zingmond ◽

...

Keyword(s):

Quality Improvement ◽

Hernia Repair ◽

Ventral Hernia ◽

Ventral Hernia Repair ◽

Quality Improvement Program ◽

Long Term Outcomes ◽

Improvement Program ◽

Surgical Quality

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Exploring day-to-day quality improvement in somatic long-term care in the Netherlands: A mixed method multiple case study

International Journal of Healthcare Management ◽

10.1179/2047971914y.0000000098 ◽

2014 ◽

Vol 8 (3) ◽

pp. 164-172 ◽

Cited By ~ 1

Author(s):

Sjenny Winters ◽

R. B. Kool ◽

A. P. A. van Beek ◽

R. Huijsman ◽

N. S. Klazinga

Keyword(s):

Quality Improvement ◽

The Netherlands ◽

Mixed Method ◽

Long Term Care ◽

Multiple Case Study ◽

Term Care ◽

Multiple Case

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A review of the world’s published face transplant cases: ethical perspectives

Scars Burns & Healing ◽

10.1177/2059513117694402 ◽

2017 ◽

Vol 3 ◽

pp. 205951311769440 ◽

Cited By ~ 6

Author(s):

Evgenia Theodorakopoulou ◽

Sheneen Meghji ◽

Georgios Pafitanis ◽

Katrina A. Mason

Keyword(s):

Mass Media ◽

General Public ◽

Healthcare Professionals ◽

Ethical Dilemmas ◽

Medical Community ◽

Ethical Challenges ◽

Long Term Outcomes ◽

Facial Transplantation ◽

Moral Arguments

[Formula: see text] The highly publicised case of the first ever partial facial transplant in 2005 sparked fierce ethical debates, moral arguments and strong opinions, both within the medical community as well as the general public and mass media. As more patients have undergone facial transplantation over the last decade, some of this initial scepticism has given way to a wider acceptance of this significant reconstructive development. However, despite an improved understanding of the perioperative technicalities and postoperative perils, the risks remain significant and the long-term outcomes are still largely unknown. This article examines the major ethical challenges that have accompanied facial allo-transplantation since its inception. We discuss these ethical dilemmas in the context of the patients, donor families, healthcare professionals and society as a whole, while evaluating some of the emerging evidence and outcomes associated with the physical and psycho-emotional risks linked to this procedure.

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Let us do better: learning lessons for recovery of healthcare professionals during and after COVID-19

BJPsych Open ◽

10.1192/bjo.2021.981 ◽

2021 ◽

Vol 7 (5) ◽

Author(s):

Esther Murray ◽

Kenneth R. Kaufman ◽

Richard Williams

Keyword(s):

Mental Health ◽

Healthcare Provider ◽

Healthcare Professionals ◽

Well Being ◽

Healthcare Services ◽

Healthcare Systems ◽

Healthcare Staff ◽

The Uk

The COVID-19 pandemic emphasises the need to rethink and restructure the culture of healthcare organisations if we are to ensure the long-term well-being and mental health of healthcare provider organisations and their staff. In this paper, we recognise the high levels of stress and distress among staff of healthcare services before the COVID-19 pandemic began. We identify lessons for care of healthcare staff and illustrate the paths by which support mobilises and later deteriorates. Although this paper focuses on NHS staff in the UK, we contend that similar effects are likely in most healthcare systems.

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Traumatic Brain Injury: A Trauma Surgeon's Perspective

Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders ◽

10.1044/nnsld22.3.82 ◽

2012 ◽

Vol 22 (3) ◽

pp. 82-89

Author(s):

Oscar D. Guillamondegui

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Multidisciplinary Approach ◽

Trauma Team ◽

The United States ◽

Long Term Outcomes ◽

Term Care ◽

Injured Brain ◽

The Moment

Traumatic brain injury (TBI) is a serious epidemic in the United States. It affects patients of all ages, race, and socioeconomic status (SES). The current care of these patients typically manifests after sequelae have been identified after discharge from the hospital, long after the inciting event. The purpose of this article is to introduce the concept of identification and management of the TBI patient from the moment of injury through long-term care as a multidisciplinary approach. By promoting an awareness of the issues that develop around the acutely injured brain and linking them to long-term outcomes, the trauma team can initiate care early to alter the effect on the patient, family, and community. Hopefully, by describing the care afforded at a trauma center and by a multidisciplinary team, we can bring a better understanding to the armamentarium of methods utilized to treat the difficult population of TBI patients.

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